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F 0 <br /> RWA R D NON-HAZARDOUS WASTE MANIFEST <br /> I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0, 9,52-0 - "' <br /> GENERATOR t n REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />' , I [GLOVES ❑GOGGLES [:]RESPIRATOR ❑HARD HAT <br /> ,MAIl1NG ADDRESS ❑TY—VEK []OTHER <br />' <br /> SPECIAL HANDLING PROCEDURES <br /> 1CFry,§TATE! ZIP <br /> ,P,HONE;-,l fl <br /> • <br /> L 1 <br /> IPOQhE SOF-AUTr OORIZE Ag4NT�I/'`�;rr E i DATE" '1 ' <br /> y <br /> •• 5 <br /> r w�i3S FTL+ F if` !r 171 fSECEINANG FACILITY <br /> ❑ SI I' Y 3 SI Iii t I 1 f F3 i II r a r,% LUDGE <br /> • [] TREATMENT SOIL ❑ NON—FRIABLE ASBESTOS FORWARD INC LANDFILL <br />' ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> IGENEIATINGFAC#CITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br />' #RAMI✓ l TRACTOR uc *a, y(� TRUCK`NUMBED ', <br /> 'S r <br /> I N M <br /> TRAILER LIC <br /> •;FGI ,';STATE;ZIP;,`, , , ;F T 3, �. <br /> tTRAILER LIC <br /> 'END DUMP BOTTOMPUMP 'i TRANSFER; ' <br /> ` ; lQ V1kTt'�it O"F AEITjI Q WA f T'OFj4 F VEI ; ' [SATE ROLL-OFFS) FLAT—BED DED ' VAN' DRUMS' <br /> El El 13 <br /> 1 <br />' FORWARD INC. LANDFILL ;C�tBIC,YARC7 <br /> Forward shall have no obligation to accept the waste it weather or other <br />' conditions impair the safe and effective disposal of the waste or if the waste , SA <br /> DISPQL METHOD (TOI`QE MPLETEDPQRW RD) <br /> impairs the safe and effective operation of the Landfill Forward shall use =ly, I CO1 ,13Y ' <br /> reasonable efforts to promptly notify Disposer of its inability to accept the l E C3ISPQS� ,B1CJ AERATE1QKPI }OTHER, , ; <br /> waste for any reason If Forwards refusal to accept the waste is based on ❑ SOIL <br /> weather or other site conditions, Forward shall notify the Disposer when site <br />' conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> • EMs1fARSl- <br /> NON-FRIABLE <br /> • ❑ ASBESTOS <br />' AAGII4Ty 1,'T1P✓I i 11j NWBER I 'l i 1 '1 '� 3 F 1 t #, I t 1 <br /> ❑ WOOD <br /> '8IGN&,`URE OF A1<kTHORIZED'AGENT, 'x„ , , DATE. ` <br /> ❑ ASH <br /> 7k" r ❑ OTHER <br />' SCHEDULING MUST BE MADE PRIOR TO 4 DO P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL (209)982-4298 <br /> mi f7C511NH5 F AF cAI rc rnpv AAAKIIFFCT * r <br />